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General NPI Number Information
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NPI Number | 1417825076
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Entity Type | Individual
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Provider Name | AMANDA CHUNG PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 201 PROSPECT AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 301-800-8696
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Fax | 301-637-5516
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Provider Business Mailing Address
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Address Line | 201 PROSPECT AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 301-800-8696
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Fax | 301-637-5516
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | A01211
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License Number State | MD
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